摘要
目的从中医基础理论角度,探索血管神经性头痛的病因病机、分型论治的临床意义。方法根据中医整体观念及辨证施治原理,分析血管神经性头痛的病因病机,论述各型的临床表现,提出不同的治法及遣方用药。结果肝阳头痛型因肝阳偏亢,生风化火所致,治宜平肝潜阳熄风,常用方剂为天麻钩藤饮、镇肝熄风汤、龙胆泻肝汤等加减化裁;血虚头痛型因气血不足,不能上荣,脑窍失养导致,治宜养血滋阴,和络止痛,常用方剂为四物汤、八珍汤、归脾汤等加减化裁;痰浊头痛型因脾失健运,痰浊中阻,上蒙清窍所致,治宜健脾燥湿,化痰降逆,常用方剂为半夏白术天麻汤、导痰汤等加减化裁;肾虚头痛型因肾精亏虚,髓海不足,脑窍失荣所致,治宜养阴补肾,填精生髓,常用方剂为大补元煎、六味地黄丸、知柏地黄丸、左归丸、肾气丸、右归丸等加减化裁;瘀血头痛型因瘀血阻窍,络脉滞涩,气机郁滞所致,治宜活血化瘀,通窍止痛,常用方剂为通窍活血汤、血府逐瘀汤、身痛逐瘀汤等加减化裁。结论中医对血管神经性头痛的治疗疗效肯定,值得临床推广与应用。
Objective To explore the clinical significance of the etiology and pathogenesis, classification and treatment of vascular nerve headache from the basic theory of traditional Chinese medicine. Methods According to the concept of holisms of traditional Chinese medicine and syndrome differentiation theory, we analyzed the etiology and pathogenesis of neurovascular headache, discussed various types of clinical manifestations of this different treatment and herbal prescription. Results The liver yang headache is due to hyperactivity of liver yang, and the common prescription is Tianma Gouteng decoction, Zhengan Xifeng decoction and modified Longdan Xiegan decoction. The blood deficiency headache type is due to deficiency of qi and blood and brain malnutrition, treatment should be nourishing blood and yin, and the commonly used prescriptions is Siwu decoction, Bazhen decoction and modified Guipi decoction. The phlegm type headache is due to dysfunction of spleen in transportation and turbid phlegm, the appropriate treatment is strengthening spleen, resolving phlegm for lowering adverse qi, and prescriptions are Banxia Baizhu Tianma decoction and modified Daotan decoction. The nephrasthenia headache type is due to deficiency of the kidney and deficiency of marrow-reservoir, the treatment should be nourishing yin and kidney, replenishing marrow- reservoir, prescriptions are Dabuyuan decoction, Liuwei Dihuang pill, Zhibai Dihuang pill, Zuogui pill and Yougui pill, Shenqi pill, etc. The blood stasis headache type is due to blood stasis, collaterals stagnation, qi stagnation, the appropriate treatment is promoting blood circulation to remove blood stasis, and the commonly used formula are Tongqiao Huoxue decoction, Xuefu Zhuyu decoction and modified Shentong Zhuyu decoction. Conclusion Traditional Chinese medicine in .the treatment of vascular nerve headache has definite curative effect, and it is worthy of clinical promotion and application.
出处
《光明中医》
2016年第19期2869-2870,共2页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
血管神经性头痛
辨证施治
遣方用药
Vascular nerve headache
Treatment based on Syndrome Differentiation
Prescription drug
